ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for clients. Which of the following tasks can the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: The correct answer is D: Obtaining a blood pressure for a client who is to be discharged later in the day. The nurse can delegate this task to an assistive personnel (AP) as it is within their scope of practice and does not require critical thinking or decision-making skills. The AP can be trained to accurately measure blood pressure, ensuring the client's safety and well-being. Tasks A, B, and C involve more specialized knowledge and skills that only a nurse should perform.
Choice A requires specific training in tracheostomy care, choice B involves assessing a client post-surgery which may require critical thinking, and choice C involves teaching a preoperative client about using an incentive spirometer, which requires educational expertise.
Therefore, choices A, B, and C are not appropriate tasks for delegation to an AP.
Question 2 of 5
A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C - The client's urine output has been 50 mL since surgery. This is important to report to the provider as it could indicate potential kidney dysfunction or inadequate fluid status postoperatively. Low urine output may be a sign of impaired renal function or inadequate fluid intake, which can lead to complications such as dehydration or acute kidney injury. It is crucial for the provider to be aware of this to intervene promptly.
Choice A is incorrect because serosanguineous drainage on the abdominal dressing is expected postoperatively.
Choice B is incorrect because the postoperative laboratory results of Hgb 15% and Hct 40% are within normal range.
Choice D is incorrect because a decrease in pain level post-morphine administration is an expected outcome.
Question 3 of 5
A nurse is providing an in-service to a group of newly licensed nurses on standards of practice and the role of the Board of Nursing (BON). Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because the Board of Nursing (BON) is responsible for regulating and monitoring laws set by the Nurse Practice Act. The Nurse Practice Act outlines the scope of practice for nurses, including licensure requirements and disciplinary actions. By regulating and monitoring these laws, the BON ensures that nurses adhere to legal standards and provide safe and competent care.
Choice B is incorrect because establishing care protocols for specific health problems is typically within the realm of healthcare organizations or professional associations, not the BON.
Choice C is incorrect because while the BON may have a role in overseeing nursing education standards, its primary focus is on licensure and regulation of practicing nurses.
Choice D is incorrect because determining competencies for licensure is typically done by the BON in collaboration with nursing education programs, but it is not the primary role of the BON.
Question 4 of 5
A newly licensed nurse is applying for their first job and wants guidance on pay. Which of the following professional standards should the nurse review?
Correct Answer: B
Rationale: The correct answer is B: Nursing Scope and Standards of Practice. The nurse should review this professional standard because it outlines the expectations and responsibilities of nurses in their practice. It provides guidance on the level of care and professionalism expected, helping the nurse understand their role and scope of practice. The other choices are incorrect because:
A: The Code of Ethics for Nurses focuses on ethical principles and values guiding nursing practice, not specifically on pay guidance.
C: American Nurses Association Position Statements are statements on current issues and topics in nursing, not specific to pay guidance.
D: Principles of Nursing Practice may provide general principles of nursing care but do not specifically address pay guidance.
Question 5 of 5
A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Convert the client's weight to kilograms. This is the first step because the dose of cefadroxil is calculated based on the client's weight in kilograms.
To convert 98 lb to kg, divide the weight in pounds by 2.2 (1 kg = 2.2 lb).
Therefore, 98 lb ÷ 2.2 = 44.54 kg. Once the weight is converted to kilograms, the nurse can then calculate the dosage in milligrams (choice
B) by multiplying the weight in kg by 15 mg. The nurse would then calculate the dosage in milliliters (choice
C) by using the concentration of the medication (250 mg/5 mL). Rounding the amount to be administered to the nearest whole number (choice
A) would be the final step before administering the medication.